Handbook for Hospital Billing, With Answer Key, Print Edition: A Reference and Training Tool for the UB-04 Manual

Claudia Birkenshaw, MSA

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491 pages, Softcover, 8.5" x 11"
ISBN: 978-1-55648-362-2
AHA Order Number: 061180
AHA Member Price: $122
Nonmember Price: $135

Designed for inpatient and outpatient facility billing, charging, and reimbursement in:

• Hospitals, Skilled nursing facilities, Hospice organizations
• Surgery and Ambulatory Care centers
• Subacute and LTC facilities and home health agencies
• Behavioral health & chemical treatment agencies
• Durable medical equipment agencies
• Health plans

Provides critical UB-04 training and serves as a reference for coders, billers, auditors, and financial staff who have the responsibility for preparing and reviewing accurate documents for claims submission. The Handbook can reduce revenue loss and speed up claims processing to payers by increasing the level of knowledge between coders, billers and everyone else involved in the revenue cycle.

The Handbook provides a global view of how the billing function should work in conjunction with the coding department. It helps HIM staff understand that coding conventions for billing are as important as ICD-9 coding conventions when sending a claim to an insurance company or payer and ensures that members of other departments understand how their contributions to the revenue cycle must be translated by billers to fit changing UB-04 Form Locator codes. The Handbook provides accurate and timely information about the UB-04 and explains how and why ICD-9, CPT, and HCPCS code conventions must be integrated with UB-04 (CMS-1450) billing conventions.

There are also challenging exercises that help readers solve real life revenue cycle problems and understand the impact of billing on other departments. Difficult content is highlighted with icons and 66 skill quizzes and 2,000 questions help readers self-test their progress. They can also be used for performance evaluations and study assignments.

"Quality codes and indicators on the UB-04 Form are increasingly being used by payers,CMS and other entities in pay-for-performance reviews. Following correct billing conventions are becoming more important than simple good revenue cycle management."
Claudia Birkenshaw, author

College Instructor Instructional Materials

The following supplemental teaching aids are available for downloading.
Course Learning Objectives
8-Week Course Outline
10-Week Course Outline
16-Week Course Outline

Reviewer Comments

Great billing office resource—right on target. An excellent training tool for academic settings and provider billing offices!
Glenn A. Fosdick, President and CEO, The Nebraska Medical Center, Omaha, NE

...comprehensive, detailed, and answers all of your questions on the UB and more. It can be used for all levels of education...the real-life business examples pull it all together into a very consist well documented manual.
Christine Parniske, Director, Patient Financial Services, Port Huron Hospital, Huron, MI

Billing and coding conventions are complex, but well explained in this handbook. I encourage HIM, PFS and all other revenue cycle staff to read this insightful analysis.
Daniel J. Coffield, MBA, CMCP, FHFMA, VP & CFO, Trinity-Health, Novi, MI

...encompasses the full array of issues and most importantly, addresses answers for both providers and payers...every payer claims processing area and provider PFS manager should incorporate the Handbook in their training.
Elizabeth Carnevale, Assistant VP, Revenue Cycle, South Nassau Communities Hospital, Oceanside, NY

...enables the reader to understand and even thrive within the revenue cycle. We will definitely use this book in our hospitals!
Joe Fifer, Vice President, Hospital Finance, Spectrum Health, Grand Rapids, MI

...a valuable training manual as well as reference guide for all those involved in the health care revenue cycle.
William D. McGregor, Director of the Revenue Cycle, Hurley Medical Center, Flint, MI

...a clear and concise guidebook....works equally well as a teaching tool for new billers or a reference guide for experienced ones.
Hugh Rose, Corporate Treasurer, Palos Community Hospital, Palos Heights, IL